NPI | 1124154125 |
---|---|
Former Name | KATIE M WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7869) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027473-1) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2015-10-21 |